Revoke ach Authorization Letter

John E. Smith
456 Oak Lane
Denver, Colorado, 80203
720-555-0147
[email protected]
November 5, 2024

To:
QuickPay Services, Inc.
789 Payment Processing Way
Austin, Texas, 78701
Customer Service Department

Subject: Revocation of ACH Debit Authorization

Dear QuickPay Services,

I am writing to revoke my authorization allowing ACH debits to my account by QuickPay Services, Inc. Please stop all future debits for the account listed below, effective immediately:

Account Holder Name: John E. Smith
Bank Name: First National Bank of Colorado
Bank Account Number: ****5678
Authorization Reference: QP2023TX7890

I request that this change be effective as of November 10, 2024, and that you send me a confirmation of this revocation’s receipt and implementation.

For any queries or further clarification, feel free to contact me directly at 720-555-0147 or [email protected].

Thank you for your immediate attention to this request.

Sincerely,

John E. Smith

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